De Anza Urgent Care | |
1001 Blair Ave Calexico CA 92231-2308 | |
(760) 768-5055 | |
(760) 768-5037 |
Full Name | De Anza Urgent Care |
---|---|
Speciality | Family Medicine |
Location | 1001 Blair Ave, Calexico, California |
Authorized Official Name and Position | Mervat G. Kelada (ADMINISTRATOR) |
Authorized Official Contact | 7605626633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
De Anza Urgent Care 1001 Blair Ave Calexico CA 92231-2308 Ph: (760) 768-5055 | De Anza Urgent Care 1001 Blair Ave Calexico CA 92231-2308 Ph: (760) 768-5055 |
NPI Number | 1699944587 |
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Provider Enumeration Date | 02/25/2008 |
Last Update Date | 02/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699944587 | NPI | - | NPPES |
00A483531 | Other | CA | INSURANCE |
A48353 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A48353 (California) | Primary |
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